In Children 1 When evaluating children, generate a differential diagnosis that accounts for common medical problems, which may present differently in children (e.g., urinary tract infections, pneumonia, appendicitis, depression). 2 As children, especially adolescents, generally present infrequently for medical care,…
Bereavement is the reaction to the loss of a close relationship. Grief is the emotional response (subjective feeling) caused by a loss including pain, distress, and physical and emotional suffering. Mourning refers to the psychological process through which the bereaved…
Gender Specific Issues 1 In the assessment of clinical problems that might present differently in men and women, maintain an inclusive differential diagnosis that allows for these differences (e.g., women with coronary artery disease, depression in males). 2 As part…
1 Routinely ask about family issues to understand their impact on the patient’s illness and the impact of the illness on the family. SOO: this is important for the social & developmental context and illness experience. Use open-ended questions to…
Eating Disorders F:M = 10:1; mortality 5-10% AN 1% onset 13-20yo & BN 2-4% onset 16-18yo Etiology Personality: OCPD, histrionic, borderline Familial: maintenance of equilibrium in dysfunctional family Individual: perfectionism, lack of control in other life area, hx of sexual…
Domestic Violence (Sexual, Physical, Psychological) Prevalence rates among pregnant and adolescent women appear to be greater All women, regardless of socioeconomic status, race, sexual orientation, age, ethnicity, health status, and presence or absence of current partner, are at risk 1 In a patient…
1 When physician-patient interaction is deemed difficult, diagnose personality disorder when it is present in patients. RECOGNIZING PERSONALITY DISORDERS — The clinician may feel angry, threatened, defensive, or incompetent, or may find it difficult to feel any emotional connection with the patient.…
1 Take the necessary time to assist patients in crisis, as they often present unexpectedly. Crises include a relapse of symptoms disruptive behaviour risk of harm to self or others Crisis offer a time-limited window of opportunity to encourage the…
1 In patients with mental health concerns, explore the role of counselling in treating their problems. (Intervention is not just about medication use.) 1) Problem-solving therapy: helpful for MDE, med nonadherence Problem definition: Obtain factual, concrete information; clarify nature of the…
Personality Disorder Enduring pattern of inner experience and behavior that deviates markedly from the norm of the individual’s culture Impairment in social, occupational, or other important areas of functioning Stable & inflexible and pervasive across a broad range of personal and…
Preparing for the CCFP Exam 2015 